Prevalence and correlates of probable common mental disorders in a population with high prevalence of HIV in Zimbabwe

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dc.contributor.authorChibanda, Dixon
dc.contributor.authorCowan, Frances
dc.contributor.authorGibson, Lorna
dc.contributor.authorWeiss, Helen A
dc.contributor.authorLund, Crick
dc.date.accessioned2021-10-08T06:54:46Z
dc.date.available2021-10-08T06:54:46Z
dc.date.issued2016
dc.description.abstractBackgroundIn 2014 close to 10 million people living with HIV (PLWH) in sub-Saharan Africa were on highly active anti-retroviral therapy (HAART). The incidence of non-communicable diseases has increased markedly in PLWH as mortality is reduced due to use of HAART. Common mental disorders (CMD) are highly prevalent in PLWH. We aimed to determine factors associated with probable CMD and depression, assessed by 2 locally validated screening tools in a population with high prevalence of HIV in Harare, Zimbabwe.MethodsWe carried out a cross-sectional survey of a systematic random sample of patients utilizing the largest primary health care facility in Harare. Adults aged ≥18years attending over a 2-week period were eligible, excluding those who were critically ill or unable to give written informed consent. Two locally validated screening tools the Shona symptom questionnaire (SSQ-14) and the Patient Health Questionnaire (PHQ-9) were administered by trained research assistants to identify probable CMD and depression.ResultsOf the 264 participants, 165 (62.5%) were PLWH, and 92% of these were on HAART. The prevalence of probable CMD (SSQ14 > = 9) and depression (PHQ9 > = 11) were higher among people living with HIV than among those without HIV (67.9 and 68.5% vs 51.4 and 47.2% respectively). Multivariable analysis showed female gender and recent negative life events to be associated with probable CMD and depression among PLWH (gender: OR = 2.32 95 % CI:1.07–5.05; negative life events: OR = 4.14; 95 % CI 1.17–14.49) and with depression (gender: OR = 1.84 95 % CI:0.85–4.02; negative life events: OR = 4.93.; 95 % CI 1.31–18.50)ConclusionElevated scores on self-report measures for CMD and depression are highly prevalent in this high HIV prevalence population. There is need to integrate packages of care for CMD and depression in existing primary health care programs for HIV/AIDS.
dc.identifier.apacitationChibanda, D., Cowan, F., Gibson, L., Weiss, H. A., & Lund, C. (2016). Prevalence and correlates of probable common mental disorders in a population with high prevalence of HIV in Zimbabwe. <i>BMC Psychiatry</i>, 16(1), 174 - 177. http://hdl.handle.net/11427/34336en_ZA
dc.identifier.chicagocitationChibanda, Dixon, Frances Cowan, Lorna Gibson, Helen A Weiss, and Crick Lund "Prevalence and correlates of probable common mental disorders in a population with high prevalence of HIV in Zimbabwe." <i>BMC Psychiatry</i> 16, 1. (2016): 174 - 177. http://hdl.handle.net/11427/34336en_ZA
dc.identifier.citationChibanda, D., Cowan, F., Gibson, L., Weiss, H.A. & Lund, C. 2016. Prevalence and correlates of probable common mental disorders in a population with high prevalence of HIV in Zimbabwe. <i>BMC Psychiatry.</i> 16(1):174 - 177. http://hdl.handle.net/11427/34336en_ZA
dc.identifier.issn1471-244X
dc.identifier.ris TY - Journal Article AU - Chibanda, Dixon AU - Cowan, Frances AU - Gibson, Lorna AU - Weiss, Helen A AU - Lund, Crick AB - BackgroundIn 2014 close to 10 million people living with HIV (PLWH) in sub-Saharan Africa were on highly active anti-retroviral therapy (HAART). The incidence of non-communicable diseases has increased markedly in PLWH as mortality is reduced due to use of HAART. Common mental disorders (CMD) are highly prevalent in PLWH. We aimed to determine factors associated with probable CMD and depression, assessed by 2 locally validated screening tools in a population with high prevalence of HIV in Harare, Zimbabwe.MethodsWe carried out a cross-sectional survey of a systematic random sample of patients utilizing the largest primary health care facility in Harare. Adults aged ≥18years attending over a 2-week period were eligible, excluding those who were critically ill or unable to give written informed consent. Two locally validated screening tools the Shona symptom questionnaire (SSQ-14) and the Patient Health Questionnaire (PHQ-9) were administered by trained research assistants to identify probable CMD and depression.ResultsOf the 264 participants, 165 (62.5%) were PLWH, and 92% of these were on HAART. The prevalence of probable CMD (SSQ14 > = 9) and depression (PHQ9 > = 11) were higher among people living with HIV than among those without HIV (67.9 and 68.5% vs 51.4 and 47.2% respectively). Multivariable analysis showed female gender and recent negative life events to be associated with probable CMD and depression among PLWH (gender: OR = 2.32 95 % CI:1.07–5.05; negative life events: OR = 4.14; 95 % CI 1.17–14.49) and with depression (gender: OR = 1.84 95 % CI:0.85–4.02; negative life events: OR = 4.93.; 95 % CI 1.31–18.50)ConclusionElevated scores on self-report measures for CMD and depression are highly prevalent in this high HIV prevalence population. There is need to integrate packages of care for CMD and depression in existing primary health care programs for HIV/AIDS. DA - 2016 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - BMC Psychiatry LK - https://open.uct.ac.za PY - 2016 SM - 1471-244X T1 - Prevalence and correlates of probable common mental disorders in a population with high prevalence of HIV in Zimbabwe TI - Prevalence and correlates of probable common mental disorders in a population with high prevalence of HIV in Zimbabwe UR - http://hdl.handle.net/11427/34336 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34336
dc.identifier.vancouvercitationChibanda D, Cowan F, Gibson L, Weiss HA, Lund C. Prevalence and correlates of probable common mental disorders in a population with high prevalence of HIV in Zimbabwe. BMC Psychiatry. 2016;16(1):174 - 177. http://hdl.handle.net/11427/34336.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Psychiatry and Mental Health
dc.publisher.facultyFaculty of Health Sciences
dc.sourceBMC Psychiatry
dc.source.journalissue1
dc.source.journalvolume16
dc.source.pagination174 - 177
dc.source.urihttps://dx.doi.org/10.1186/s12888-016-0764-2
dc.subject.otherCommon mental disorders
dc.subject.otherDepression
dc.subject.otherHIV
dc.subject.otherHighly active antiretroviral therapy
dc.titlePrevalence and correlates of probable common mental disorders in a population with high prevalence of HIV in Zimbabwe
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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